Ruth and Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel.
Center for the Advancement of Teaching, The Max Stern Yezreel Valley College, Emek Yezreel, Israel.
Med Teach. 2021 Apr;43(4):428-438. doi: 10.1080/0142159X.2020.1854706. Epub 2020 Dec 8.
Despite in-depth discussions regarding professional identity of doctors, there is still a gap in our understanding of how this professional identity actually evolves.
To outline some major mechanisms involved in formation of medical students' professional identity.
A qualitative study based on thematic analysis. 296 diary entries, written by eight medical students as part of the three-year course 'Becoming a Physician,' were reviewed. The course, conducted in small groups, gradually exposes students to the clinical field, and emphasizes awareness to marginalized populations, and interpersonal communication skills.
Following the social constructivist learning theory, where learners individually and socially construct meaning attributed to their experiences, we identified three major mechanisms based on students' written reflections. These include linking current experiences to past; comparing different types or aspects of knowledge, doctors or medicine; and future perspective taking.
This study sheds light on the possible mechanisms used by medical students in forming their professional identity prior to their clinical training. Knowing these mechanisms can help medical educators better understand and support their students in formation of their professional identities. Conducting reflective writing could serve as an effective tool for learners to comprehend the meanings of their experiences.
尽管我们深入讨论了医生的职业认同,但对于医生职业认同的实际形成过程,我们仍缺乏了解。
概述医学生职业认同形成过程中涉及的一些主要机制。
一项基于主题分析的定性研究。对 8 名医学生在为期三年的“成为一名医生”课程中作为课程作业所写的 296 篇日记进行了回顾。该课程以小组形式进行,逐步让学生接触临床领域,并强调对边缘化人群的认识和人际沟通技巧。
根据学习者个体和社会构建与自身经历相关意义的社会建构主义学习理论,我们根据学生的书面反思,确定了三个主要机制。这些机制包括将当前的经历与过去联系起来;比较不同类型或方面的知识、医生或医学;以及未来视角的转变。
本研究揭示了医学生在临床培训之前形成职业认同可能使用的机制。了解这些机制可以帮助医学教育者更好地理解和支持学生形成职业认同。进行反思性写作可以作为学习者理解自身经历意义的有效工具。